Individual
MS. MORGAN WYATT SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3408 MEDICAL PARK DR, MONROE, LA 71203-2354
(318) 323-2244
(318) 387-9595
Mailing address
3408 MEDICAL PARK DR, MONROE, LA 71203-2354
(318) 323-2244
(318) 387-9595
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN065733/AP03678
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104248
—
LA
Enumeration date
10/02/2006
Last updated
06/06/2016
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